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AMCP's 2010 Educational Conference

PRO PHARMA attended The AMCP Managed Care Industry Forum 2010

St. Louis, MO October 13-15, 2010.

AMCP

The following topics was presented:

  • the challenges and opportunities facing the ACO and PCMH models today and in the near future
  • how these coordination of care models will change the delivery of patient care
  • health care reform legislation will impact the ACO and PCMH models and its effect on payers and managed care Quality Management Program™.

Session Description:

The Accountable Care Organization (ACO) model has emerged as a way of promoting integration while avoiding some of the perceived problems of past integrated health care systems.  ACOs have broadened from a focus on hospital-centered systems to include models based on physician practices – including specialty groups and independent practice associations (IPAs). The ACO concept can be expected to evolve over time as payers and providers learn which models work best. The health care reform legislation authorizes the Centers for Medicare and Medicaid Services to contract with ACOs and established a Medicare shared savings program for ACOs to take effect no later than January 2012. 

Faculty will discuss the ACO model as set forth in the health care reform legislation, how ACOs will evolve over time, the various delivery systems that could become ACOs, and the challenges and potential rewards facing payers, health care plans and patients. 
 
The patient centered medical home (PCMH) model approach is a comprehensive health care model designed to provide patients with safe, effective, cost-efficient, quality care. These services are enhanced through a consistent, coordinated working relationship between the patient, the patient’s physician and the health care team. The PCMH model focuses on the accountability of all team players in ensuring the appropriate level of treatment is continually provided to achieve positive outcomes. Pharmacists play important roles in optimizing therapeutic outcomes and promoting safe, cost-effective medication use for patients in medical home and ACO models. These new models provide an opportunity to look at innovative approaches to expanding patient-centered care in evolving practice models. 
 
Faculty will discuss key factors that facilitate the effectiveness and efficiency of interdisciplinary care teams, including how the health care reform legislation will affect the PCMH model.

 

AMCP

For more information please contact Carol Stern @ 818-701-5438
or carol.stern@propharmaconsultants.com